Individual
DANIEL C DEETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 392-9886
(608) 392-7851
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34047
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34047
WI
207RP1001X
Pulmonary Disease Physician
Primary
34047
WI
Other
Enumeration date
11/22/2005
Last updated
04/09/2021
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